Global School-based Student Health Survey (GSHS)
2006 Cayman Islands
GSHS Questionnaire
For more information:
www.cdc.gov/gshs or
www.who.int/chp/gshs/en/
2006 CAYMAN ISLANDS GLOBAL SCHOOL-BASED STUDENT HEALTH SURVEY
This survey is about your health and the things you do that may affect your health.
Students like you all over your country are doing this survey. Students in many other
countries around the world also are doing this survey. The information you give will be
used to develop better health programs for young people like yourself.
DO NOT write your name on this survey or the answer sheet. The answers you give
will be kept private. No one will know how you answer. Answer the questions based on
what you really know or do. There are no right or wrong answers.
Completing the survey is voluntary. Your grade or mark in this class will not be affected
whether or not you answer the questions. If you do not want to answer a question, just
leave it blank.
Make sure to read every question. Fill in the circles on your answer sheet that match
your answer. Use only the pencil you are given. When you are done, do what the
person who is giving you the survey says to do.
Here is an example of how to fill in the circles:
Fill in the circles like this
Not like this
or
Survey
1. Do fish live in water?
A. Yes
B. No
Answer sheet
1.
A
B
C
D
E
F
G
H
Thank you very much for your help.
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
2
1.
How old are you?
The next 3 questions ask about your height,
weight, and going hungry.
2.
3.
A.
11 years old or younger
B.
12 years old
How tall are you without your shoes on? ON
THE ANSWER SHEET, WRITE YOUR HEIGHT
D. 14 years old
IN THE SHADED BOXES AT THE TOP OF THE
E.
15 years old
GRID. THEN FILL IN THE OVAL BELOW EACH
F.
16 years old or older
NUMBER.
What is your sex?
A.
Male
B.
Female
In what grade/year/form are you?
A.
Year 8
B.
Year 9
C. Year 10
D. Year 11
E.
4.
5.
C. 13 years old
Year 12
What type of school do you attend?
A.
Public
B.
Private
Example
Height
Feet
Inches
5
11
e
b
f
c
z
d
h
e
i
f
g
h
i
j
k
l
z
k I do not know
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
1
6. How much do you weigh without your shoes on?
The next question asks about fruits you might eat.
ON THE ANSWER SHEET, WRITE YOUR WEIGHT
IN THE SHADED BOXES AT THE TOP OF THE
8.
During the past 30 days, how many times per day
GRID. THEN FILL IN THE OVAL BELOW EACH
did you usually eat fruit, such as mango, guava,
NUMBER.
guinep, apples, or oranges?
Example
1
z
d
e
k
Weight
Pounds
5
3
b
b
c
c
d
d
z
e
f
f
z
g
h
h
i
i
j
j
k
k
I do not know
A.
I did not eat fruit during the past 30 days
B.
Less than one time per day
C. 1 time per day
D. 2 times per day
E.
3 times per day
F.
4 times per day
G. 5 or more times per day
The next question asks about vegetables you
might eat such as broccoli, calalou, cabbage, or
lettuce. Please, note that cereals and roots such
as potatoes and yucca are NOT vegetables.
9.
During the past 30 days, how many times per day
did you usually eat vegetables?
A.
I did not eat vegetables during the past 30
During the past 30 days, how often did you go
B.
Less than one time per day
hungry because there was not enough food in
C. 1 time per day
your home?
D. 2 times per day
days
7.
E.
3 times per day
A.
Never
F.
4 times per day
B.
Rarely
G. 5 or more times per day
C. Sometimes
D. Most of the time
The next 2 questions ask about drinking and
E.
eating habits.
Always
10. During the past 30 days, how many times per day
did you usually drink carbonated soft drinks, such
as Coke, Sprite, ginger ale, or cola-champagne?
A.
I did not drink carbonated soft drinks during
B.
Less than one time per day
the past 30 days
C. 1 time per day
D. 2 times per day
E.
3 times per day
F.
4 times per day
G. 5 or more times per day
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
2
11. During the past 7 days, on how many days did
you eat at a fast food restaurant such as
15. During the past 30 days, how often did you use
soap when washing your hands?
McDonalds, Seymour’s, KFC, Burger King, Pizza
Hut, Dominoes, or Wendy’s?
A.
Never
B.
Rarely
A.
0 days
C. Sometimes
B.
1 day
D.
Most of the time
E.
Always
C. 2 days
D. 3 days
E.
4 days
The next question asks about physical attacks. A
F.
5 days
physical attack occurs when one or more people
G. 6 days
hit or strike someone, or when one or more
H. 7 days
people hurt another person with a weapon (such
as a stick, knife, or gun). It is not a physical attack
The next 4 questions ask about personal health
when two students of about the same strength or
activities.
power choose to fight each other.
12. During the past 30 days, how many times per
16. During the past 12 months, how many times were
day did you usually clean or brush your teeth?
you physically attacked?
A.
I did not clean or brush my teeth during the
A.
0 times
past 30 days
B.
1 time
Less than 1 time per day
C. 2 or 3 times
B.
C. 1 time per day
D. 4 or 5 times
D. 2 times per day
E.
6 or 7 times
E.
3 times per day
F.
8 or 9 times
F.
4 or more times per day
G. 10 or 11 times
H. 12 or more times
13. During the past 30 days, how often did you wash
your hands before eating?
A.
Never
B.
Rarely
C. Sometimes
D.
Most of the time
E.
Always
14. During the past 30 days, how often did you wash
your hands after using the toilet or latrine?
A.
Never
B.
Rarely
C. Sometimes
D.
Most of the time
E.
Always
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
3
The next question asks about physical fights. A
19. During the past 12 months, what were you
physical fight occurs when two or more students
doing when the most serious injury happened to
of about the same strength or power choose to
you?
fight each other.
A.
I was not seriously injured during the past 12
B.
Playing or training for a sport
months
17. During the past 12 months, how many times were
you in a physical fight?
C. Walking or running, but not as part of playing
A.
0 times
B.
1 time
or training for a sport
D. Riding a bicycle, scooter, personal water
craft (jet skis), pocket rockets, or big bikes
C. 2 or 3 times
D. 4 or 5 times
E.
6 or 7 times
F.
8 or 9 times
E.
vehicle
F.
Doing any paid or unpaid work, including
housework, yard work, or cooking
G. 10 or 11 times
H. 12 or more times
Riding or driving in a car or other motor
G. Nothing
H. Something else
The next 5 questions ask about the most serious
injury that happened to you during the past 12
20. During the past 12 months, what was the major
months. An injury is serious when it makes you
cause of the most serious injury that happened
miss at least one full day of usual activities (such
to you?
as school, sports, or a job) or requires treatment
by a doctor or nurse.
A.
I was not seriously injured during the past 12
18. During the past 12 months, how many times were
B.
I was in a motor vehicle accident or hit by a
months
motor vehicle
you seriously injured?
C. I fell
A.
0 times
D. Something fell on me or hit me
B.
1 time
E.
C. 2 or 3 times
F.
6 or 7 times
F.
8 or 9 times
G. 10 or 11 times
I was attacked, assaulted, or abused by
someone
D. 4 or 5 times
E.
I was fighting with someone
G. I was in a fire or too near a flame or
something hot
H. Something else caused my injury
H. 12 or more times
21. During the past 12 months, how did the most
serious injury happen to you?
A.
I was not seriously injured during the past 12
B.
I hurt myself by accident
months
C. Someone else hurt me by accident
D.
I hurt myself on purpose
E.
Someone else hurt me on purpose
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
4
22. During the past 12 months, what was the most
24. During the past 30 days, how were you bullied
serious injury that happened to you?
most often?
A.
I was not seriously injured during the past 12
A.
I was not bullied during the past 30 days
months
B.
I was hit, kicked, pushed, shoved around, or
B.
locked indoors
I had a broken bone or a dislocated joint
C. I had a cut, puncture, or stab wound
C. I was made fun of because of my race or
color
D. I had a concussion or other head or neck
injury, was knocked out, or could not breathe
D. I was made fun of because of my religion
E.
I had a gunshot wound
E.
F.
I had a bad burn
G. I lost all or part of a foot, leg, hand, or arm
I was made fun of with sexual jokes,
comments, or gestures
F.
I was left out of activities on purpose or
completely ignored
H. Something else happened to me
G. I was made fun of because of how my body
The next 2 questions ask about bullying. Bullying
occurs when a student or group of students say
or face looks
H. I was bullied in some other way
or do bad and unpleasant things to another
student. It is also bullying when a student is
The next question asks about the use of seat belt
teased a lot in an unpleasant way or when a
and helmet.
student is left out of things on purpose. It is not
bullying when two students of about the same
25. During the past 30 days, how often did you use a
strength or power argue or fight or when teasing
seat belt when riding in a car or other motor
is done in a friendly and fun way.
vehicle driven by someone else?
23. During the past 30 days, on how many days were
A.
I did not ride in a motor vehicle driven by
someone else
you bullied?
B.
Never
A.
0 days
C. Rarely
B.
1 or 2 days
D. Sometimes
C. 3 to 5 days
E.
Most of the times
D. 6 to 9 days
F.
Always
E.
10 to 19 days
F.
20 to 29 days
G. All 30 days
The next question asks about violent activities.
Violence occurs when a person or a group of
people attack other people or a group of people
with insults, bullying, hits, assault, robbery, or
rape.
26. Do you belong to any violent group?
A.
Yes
B.
No
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
5
The next 7 questions ask about your feelings and
32. During the past 12 months, did you deliberately
friendships.
harm or injure yourself without suicidal intent?
27. During the past 12 months, how often have you
A.
0 times
B.
1-2 times
felt lonely?
C. 3-9 times
A.
Never
B.
Rarely
C. Sometimes
D.
Most of the time
E.
Always
28. During the past 12 months, how often have you
been so worried about something that you could
D. 10 or more times
33. How many close friends do you have?
A.
0
B.
1
C. 2
D. 3 or more
not sleep at night?
The next 8 questions ask about cigarette and
A.
Never
B.
Rarely
C. Sometimes
D.
Most of the time
E.
Always
29. During the past 12 months, did you ever feel so
other tobacco use.
34. How old were you when you first tried a cigarette?
A.
I have never smoked cigarettes
B.
7 years old or younger
C. 8 or 9 years old
sad or hopeless almost every day for two weeks
D. 10 or 11 years old
or more in a row that you stopped doing your
E.
12 or 13 years old
usual activities?
F.
14 or 15 years old
G. 16 years old or older
A.
Yes
B.
No
35. During the past 30 days, on how many days did
you smoke cigarettes?
30. During the past 12 months, did you ever
seriously consider attempting suicide?
A.
0 days
B.
1 or 2 days
A.
Yes
C. 3 to 5 days
B.
No
D. 6 to 9 days
31. During the past 12 months, did you make a plan
about how you would attempt suicide?
A.
Yes
B.
No
E.
10 to 19 days
F.
20 to 29 days
G. All 30 days
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
6
36. During the past 30 days, on how many days did
you use any other form of tobacco, such as
40. At any time during the next 12 months, do you
think you will smoke a cigarette?
cigaweed, chewing, or pipe?
A.
Definitely not
A.
0 days
B.
Probably not
B.
1 or 2 days
C. Probably yes
C. 3 to 5 days
D. Definitely yes
D. 6 to 9 days
E.
10 to 19 days
F.
20 to 29 days
41. If one of your best friends offered you a cigarette,
would you smoke it?
G. All 30 days
37. During the past 12 months, have you ever tried to
stop smoking cigarettes?
A.
Definitely not
B.
Probably not
C. Probably yes
D. Definitely yes
A.
I have never smoked cigarettes
B.
I did not smoke cigarettes during the past 12
The next 6 questions ask about drinking alcohol.
months
This includes drinking rum, beer, wine,
C. Yes
champagne, and other spirits. Drinking alcohol
D. No
does not include drinking a few sips of wine, wine
cooler, or beer for religious purposes.
38. During the past 7 days, on how many days have
people smoked in your presence?
42. How old were you when you had your first drink
of alcohol other than a few sips?
A.
0 days
B.
1 or 2 days
A.
I have never had a drink of alcohol other
D. 5 or 6 days
B.
7 years old or younger
E.
C. 8 or 9 years old
than a few sips
C. 3 or 4 days
All 7 days
D. 10 or 11 years old
39. Which of your parents or guardians use any form
of tobacco?
E.
12 or 13 years old
F.
14 or 15 years old
G. 16 years old or older
A.
Neither
B.
My father or male guardian
C. My mother or female guardian
43. During the past 30 days, on how many days did
you have at least one drink containing alcohol?
D. Both
E.
I do not know
A.
0 days
B.
1 or 2 days
C. 3 to 5 days
D. 6 to 9 days
E.
10 to 19 days
F.
20 to 29 days
G. All 30 days
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
7
44. During the past 30 days, on the days you drank
47. During your life, how many times have you ever
alcohol, how many drinks did you usually drink
had a hang-over, felt sick, got into trouble with
per day?
your family or friends, missed school, or got into
fights, as a result of drinking alcohol?
A.
I did not drink alcohol during the past 30
days
A.
0 times
B.
Less than one drink
B.
1 or 2 times
C. 1 drink
C. 3 to 9 times
D.
2 drinks
D. 10 or more times
E.
3 drinks
F.
4 drinks
G. 5 or more drinks
The next question asks about how often you see
alcohol advertisements on videos, magazines, or
the internet or at movie theaters, sports events, or
45. During the past 30 days, how did you usually get
music concerts.
the alcohol you drank? SELECT ONLY ONE
RESPONSE.
48. During the past 30 days, how often did you see
any alcohol advertisements?
A.
B.
I did not drink alcohol during the past 30
days
A.
Never
I bought it in a store, shop, or from a street
B.
Rarely
vendor
C. Sometimes
C. I gave someone else money to buy it for me
D.
Almost daily
D.
I got it from my friends
E.
Daily
E.
I got it from home
F.
I stole it
The next question asks about drugs.
G. I made it myself
H. I got it some other way
49. During your life, how many times have you used
drugs, such as weed (gania or Maryjane),
46. During your life, how many times did you drink so
cocaine (white lady or snowman), crack (roc), or
much alcohol that you were really drunk?
ecstasy (X)?
A.
0 times
A.
0 times
B.
1 or 2 times
B.
1 or 2 times
C. 3 to 9 times
C. 3 to 9 times
D. 10 or more times
D. 10 or more times
The next 5 questions ask about sexual
intercourse (boning, screwing, making love, or
grinding).
50. Have you ever had sexual intercourse?
A.
Yes
B.
No
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
8
51. How old were you when you had sexual
The next question asks about places to access
intercourse for the first time?
condoms
A.
I have never had sexual intercourse
55. If you wanted to get a condom, rubber, glove, or
B.
11 years old or younger
Jimmy cap, how would you most likely get it?
C. 12 years old
D. 13 years old
A.
I would get it from a vending machine
E.
14 years old
B.
I would get it in a store or shop or from a
F.
15 years old
G. 16 years old or older
street vendor
C. I would get it from a pharmacy, clinic, or
hospital
52. During your life, with how many people have you
D. I would give someone else money to buy it
for me
had sexual intercourse?
E.
I would steal it
I would get it some other way
A.
I have never had sexual intercourse
F.
B.
1 person
G. I don’t know
C. 2 people
D. 3 people
E.
4 people
F.
5 people
G. 6 or more people
The next question asks about the use of
contraceptive and protective methods such as
coitus interruptus (withdrawal), rhythm (safe
time around the menstruation), contraceptive
pills, condom, or any other method to avoid
pregnancy.
53. During the past 12 months, have you had sexual
intercourse?
56. During the past 12 months, how often did you or
your partner use any method of birth control?
A.
Yes
B.
No
A.
I have never had sexual intercourse
B.
I have had sexual intercourse, but not during
54. The last time you had sexual intercourse, did
the past 12 months
you or your partner use a condom, rubber, glove,
C. Never
or Jimmy cap?
D. Rarely
E.
Sometimes
Most of the time
A.
I have never had sexual intercourse
F.
B.
Yes
G. Always
C. No
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
9
The next 2 questions ask about physical activity.
The next question asks about the time you spend
Physical activity is any activity that increases
mostly sitting when you are not in school or doing
your heart rate and makes you get out of breath
homework.
some of the time. Physical activity can be done in
sports, playing with friends, or walking to school.
59. How much time do you spend during a typical or
Some examples of physical activity are running,
usual day sitting and watching television, playing
fast walking, biking, dancing, football, swimming,
computer games, talking with friends, or doing
diving, or climbing.
other sitting activities, such as chatting online?
ADD UP ALL THE TIME YOU SPEND IN PHYSICAL
A.
Less than 1 hour per day
ACTIVITY EACH DAY. DO NOT INCLUDE YOUR
B.
1 to 2 hours per day
PHYSICAL EDUCATION OR GYM CLASS.
C. 3 to 4 hours per day
D. 5 to 6 hours per day
57. During the past 7 days, on how many days were
E.
7 to 8 hours per day
you physically active for a total of at least 60
F.
More than 8 hours per day
minutes per day?
The next 2 questions ask about going to and
A.
0 days
B.
1 day
coming home from school.
C. 2 days
60. During the past 7 days, on how many days did
D. 3 days
you walk or ride a bicycle to and from school?
E.
4 days
F.
5 days
A.
0 days
G. 6 days
B.
1 day
H. 7 days
C. 2 days
D. 3 days
58. During a typical or usual week, on how many
E.
4 days
days are you physically active for a total of at
F.
5 days
least 60 minutes per day?
G. 6 days
H. 7 days
A.
0 days
B.
1 day
C. 2 days
61. During the past 7 days, how long did it usually
D. 3 days
take for you to get to and from school each day?
E.
4 days
ADD UP THE TIME YOU SPEND GOING TO
F.
5 days
AND COMING HOME FROM SCHOOL.
G. 6 days
H. 7 days
A.
Less than 10 minutes per day
B.
10 to 19 minutes per day
C. 20 to 29 minutes per day
D. 30 to 39 minutes per day
E.
40 to 49 minutes per day
F.
50 to 59 minutes per day
G. 60 or more minutes per day
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
10
The next question asks about the time you spend
66. During the past 30 days, how often did your
in a week in physical education or gym class at
parents or guardians understand your problems
school
and worries?
62. During this school year, on how many days did
A.
Never
you go to physical education class each week?
B.
Rarely
C. Sometimes
A.
0 days
D. Most of the time
B.
1 day
E.
Always
C. 2 days
D. 3 days
E.
4 days
F.
5 or more days
67. During the past 30 days, how often did you share
your problems or worries with your mother?
A.
Never
The next 9 questions ask about your experiences
B.
Rarely
at school and at home, as well as in your spiritual
C. Sometimes
life.
D. Most of the time
E.
Always
63. During the past 30 days, on how many days did
you miss classes or school without permission?
68. During the past 30 days, how often did you share
your problems or worries with your father?
A.
0 days
B.
1 or 2 days
A.
Never
C. 3 to 5 days
B.
Rarely
D. 6 to 9 days
C. Sometimes
E.
D. Most of the time
10 or more days
64. During the past 30 days, how often were most of
the students in your school kind and helpful?
E.
Always
69. During the past 30 days, how often did your
parents or guardians really know what you were
A.
Never
B.
Rarely
doing with your free time?
C. Sometimes
A.
Never
D. Most of the time
B.
Rarely
E.
C. Sometimes
Always
D. Most of the time
65. During the past 30 days, how often did your
E.
Always
parents or guardians check to see if your
homework was done?
70. During the past 30 days, how much did your
teachers care about you?
A.
Never
B.
Rarely
A.
Not at all
C. Sometimes
B.
Very little
D. Most of the time
C. Somewhat
E.
D. Quite a bit
Always
E.
Very much
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
11
71. Do you think of yourself as a religious or spiritual
person?
A.
Yes
B.
No
Cayman Islands GSHS Questionnaire – 2006
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: December 4, 2006
12